Provider Demographics
NPI:1265737019
Name:MULLEN, ANTHONY FRANCIS (DCM(P), RCP(PA))
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:FRANCIS
Last Name:MULLEN
Suffix:
Gender:M
Credentials:DCM(P), RCP(PA)
Other - Prefix:
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Mailing Address - Street 1:HC 88 BOX 1670
Mailing Address - Street 2:151 MOHAWK PATH
Mailing Address - City:POCONO LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18347-9611
Mailing Address - Country:US
Mailing Address - Phone:570-540-1681
Mailing Address - Fax:
Practice Address - Street 1:RR 5 BOX 5195
Practice Address - Street 2:MJA HEALTHCARE
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9209
Practice Address - Country:US
Practice Address - Phone:570-872-9800
Practice Address - Fax:570-872-9888
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAYM0116182278G1100X, 2278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation
No2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care